Stefanie El-darazi, DPT is a medicare enrolled "Physical Therapist" provider in West Milwaukee, Wisconsin. She graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Odom Sports Medicine Pa and her current practice location is
1224 Miller Pkway, West Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 847-2971.
Stefanie El-darazi is licensed to practice in Wisconsin (license number 12839-24) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235538653.
Healthcare Provider's Profile
| Full Name | Stefanie El-darazi |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 11 Years |
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| Location | 1224 Miller Pkway, West Milwaukee, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stefanie El-darazi graduated from medical school in 2014
NPI Data:
- NPI Number: 1235538653
- Provider Enumeration Date: 08/21/2014
- Last Update Date: 09/11/2014
Medicare PECOS Information:
- PECOS PAC ID: 5890913727
- Enrollment ID: I20200115001072
Medical Identifiers
Medical identifiers for Stefanie El-darazi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235538653 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 12839-24 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Odom Sports Medicine Pa | 0143485607 | 54 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stefanie El-darazi allows following entities to bill medicare on her behalf.
| Provider Name | Odom Sports Medicine Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1275557886
PECOS PAC ID: 0143485607
Enrollment ID: O20120706000533 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stefanie El-darazi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Stefanie El-darazi, DPT
790 Remington Blvd,
Bolingbrook, IL 60440-4909
Ph: (630) 296-2222 | Stefanie El-darazi, DPT
1224 Miller Pkway,
West Milwaukee, WI 53214-3614
Ph: (414) 847-2971 |
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